Provider Demographics
NPI:1467001339
Name:MORRIS, CARRILEE ROSE (RN)
Entity Type:Individual
Prefix:MS
First Name:CARRILEE
Middle Name:ROSE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4393 BATH RD
Mailing Address - Street 2:
Mailing Address - City:PENN YAN
Mailing Address - State:NY
Mailing Address - Zip Code:14527-9550
Mailing Address - Country:US
Mailing Address - Phone:315-521-9281
Mailing Address - Fax:
Practice Address - Street 1:4393 BATH RD
Practice Address - Street 2:
Practice Address - City:PENN YAN
Practice Address - State:NY
Practice Address - Zip Code:14527-9550
Practice Address - Country:US
Practice Address - Phone:315-521-9281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY667496163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse